Juanita Suro LCPC

NPI 1386831311 - Counselor - 101YM0800X

NPI Details
NPI 1386831311
Gender Female
Enumeration Date 10/03/2007
Last Updated 10/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
902 W JOURDAN ST
NEWTON IL, 62448-1062, US
Phone (618) 783-8615
Fax (618) 783-4174
Business Location
PO BOX M
504 MICAH DRIVE
OLNEY IL, 62450-0913, US
Phone (618) 395-4306
Fax (618) 395-4507
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Juanita Suro LCPC NPI is 1386831311, taxonomy code is 101YM0800X Juanita Suro LCPC physically located at 902 W Jourdan St, Newton IL, 62448-1062. NPI Number Juanita Suro LCPC has the Individual type.

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1386831311 NPI number is provided on an as is basis without warranty of any kind. 1386831311 is maintained by the National Plan & Provider Enumeration System. The contents of Juanita Suro LCPC are for informational purposes only.